0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

RE: CYSTIC DISEASE OF THE RENAL MEDULLA

RONALD J. KALLEN, MD
Am J Dis Child. 1965;109(4):371. doi:10.1001/archpedi.1965.02090020373022.
Text Size: A A A
Published online

To the Editor: Although somewhat belated, the interesting account of a case of renal medullary cystic disease in an adolescent deserves some comment (Amer J Dis Child 107:277, 1964). It is stated that this is the first case with "proved salt loss." Strauss1 has reviewed this syndrome in 17 patients. Seven of these were between the ages of 8 and 18 at the time of death ("adolescent" form of medullary cystic disease), and five of the seven were clearly "salt-wasters." Such cases have prodigious urinary sodium losses, and hyponatremia is a frequent occurrence. The urinary sodium concentration in Dr. Faigel's report does not conclusively establish the presence of sodium wasting. Such concentration conceivably could occur as part of the urea-loaded diuresis confronting the residual nephrons. The case of sodium wasting detailed by Strauss2 was of a more profound degree.

The presence of a refractory anemia with a hypoplastic

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();